Proctology
Haemorrhoids – from the right diagnosis to gentle laser treatment
Haemorrhoids are common, but treatment should be selected according to symptoms, grade and anatomy. Laser is a tissue-preserving option for selected patients.
Short answer
Laser haemorrhoidoplasty treats internal haemorrhoidal tissue from within. It may produce less early pain and faster recovery than excisional surgery. Large external components or advanced prolapse may require another or combined procedure.
Symptoms and examination
Typical symptoms include bright red bleeding, prolapse, itching, moisture and difficulty keeping clean. Examination, proctoscopy and sometimes rectoscopy help confirm the diagnosis. Rectal bleeding should not automatically be attributed to haemorrhoids.
How laser treatment works
A thin laser fibre is introduced into the haemorrhoidal tissue. Energy reduces blood flow and shrinks the tissue while largely preserving the sensitive anoderm. Evidence mainly supports lower early pain and faster return to activities; long-term recurrence varies.
- Less open wound surface
- Often a day procedure
- May reduce early pain
- Not suitable for every grade
Choosing the right method
Fibre and bowel habits remain basic treatment. Rubber-band ligation suits many internal haemorrhoids. Excision may offer more definitive treatment for large external components or major prolapse. The best method is selected after examination and shared decision-making.
Next step
Have your symptoms assessed by a specialist surgeon
No referral needed. Short lead times to assessment and treatment in Karlstad, Sweden.
Frequently asked questions
Is laser best for everyone?
No. It is attractive for selected internal haemorrhoids, while advanced or external disease may require another method.
Does laser hurt less?
Studies suggest less early postoperative pain than excisional surgery, although individual experiences vary.
Can haemorrhoids recur?
Yes. Recurrence is possible after every method and depends on disease grade, anatomy and treatment.
Sources
This text is patient information and does not replace an individual medical assessment.